Uterine anomalies

1. Uterine anomalies

2. •?????? Prevalence in general population 1 in 201
(0.5%)
•?????? According to “Acien,” 2-3% of fertile women
and
•3% of infertile women and 5-10% of those with
•repeated miscarriages.
•?????? Distribution: 7% arcuate, 34% septate, 39%
•bicornuate, 11% didelphic, 5% unicornuate, 4%
•hypoplastic/asplastic/solid and other forms

3. CLINICAL PRESENTATION
•Spontaneous Abortion
•Premature Delivery
•Infertility
•Abnormal Fetal Lie
•Dystocia at delivery
•Dysmenorrhea, endometriosis
•Cervical incompetence

4. ?????? 1. Agenesis of uterus/vagina: Rokitansky-
Kuster-Hauser Syndrome.
?????? 2. Defects in Vertical Fusion (obstructive
or
non-obstructive)
?????? 3. Lateral Fusion defects (obstructive or
non-obstructive).
Classification into 3 groups:
Based on similar embryonic development
defects and clinical presentation

8. •1. 1. Unicornuate Unicornuate
•2. 2. Unicornuate with uterine horn (not
containing an endometrial cavity, not
fused to cavity)
•Unicornuate with communicating uterine
horn

9. UTERUS DIDELPHYS

10. UTERUS DIDELPHYS

11. BICORNUATE UTERUS

12. SEPTATE UTERUS

13. SUBSEPTATE UTERUS

14. UNICORNUATE UTERUS

15. ARCUATE UTERUS